Prevalence of nutritional risk in preoperative adult patients at Presidente Perón Hospital, Avellaneda, Argentina
Keywords:
Nutritional Status, Perioperative Period, General Surgery, Risk Factors, Mass ScreeningAbstract
Introduction: Malnutrition is a key determinant of surgical outcomes, increasing the risk of postoperative complications, morbidity, and prolonged hospital stays. It is recommended to apply a nutritional screening method to all hospitalized patients, in particular to those undergoing surgery, since it allows for the identification of those at nutritional risk and the implementation of appropriate preoperative interventions, promoting better surgical outcomes. General objective: To determine the prevalence of nutritional risk in hospitalized preoperative patients. Material and methods: A prospective, observational, descriptive, and cross-sectional study was conducted on preoperative adult patients admitted to the surgery department of President Perón hospital between June and July 2023. The Perioperative Nutrition Screen (PONS) tool was used to determine nutritional risk. Results: Nineteen patients were evaluated. The prevalence of nutritional risk was 57.9 %. Most patients belonged to the General Surgery Department. The most affected PONS variable was reduced dietary intake, observed in 73% of patients at risk. Conclusions: Identifying malnutrition upon admission is essential to preventing or minimizing the progression of complications associated with illness, prolonged hospital stays, and increased mortality risk. Likewise, evaluating nutritional status during the perioperative period becomes crucial for determining patients’ nutritional condition and implementing the best nutritional strategy before surgery.Downloads
References
1. Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017; 36 (1): 49-64.
2. Studley HO. Percent age of weight loss, a basic indicator of surgical risk in patient swith chronic pepticulcer. JAMA. 1936; 106:458-60.
3. Simonsen C, de Heer P, Bjerre E, Suetta C, Hojman P, Pedersen B et al. Sarcopenia and postoperative complication risk in gastrointestinal surgical oncology: a meta-analysis. Ann Surg. 2018; 268(1): 58-69.
4. Carrillo-Esper R, Díaz Ponce-Medrano JA, Garnica-Escamilla MA, Ibarias-Enciso IA, Huesca-Jiménez G. Evaluación nutricional en el perioperatorio. Rev Mex Anest. 2017; 40 (2): 129-33.
5. Asociación Argentina de Nutrición Enteral y Parenteral. Estudio AANEP 2014 [Internet]. [acceso feb 2025]. Disponible en: https://www.aanep.org.ar/es/contenidos/estudioaanep14.
6. Meinardi P, Candioti M. Prevalencia de desnutrición y riesgo nutricional en pacientes adultos prequirúrgicos del hospital J.B. Iturraspe. Actual. nutr. 2018; 19(2): 44-51.
7. Cortina M, Méndez IA, Fantinelli A, Delledonne AE, Lipovetzky VL, Etienne CS et al. Valoración del estado nutricional en pacientes pre-quirúrgicos en un Hospital de Agudos de la provincia de Buenos Aires. Diaeta (B.Aires). 2017; 35(159):32-6.
8. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN Guidelines for nutrition screening 2002. Clin Nutr. 2003; 22 (4):415–21.
9. Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S et al. ESPEN practical guideline: clinical nutrition in surgery. Clin Nutr. 2021; 40: 4745-61.
10. Wischmeyer P, Carli F, Evans D, Guilbert S, Kozar R,, Pryor A, et al. American society for enhanced recovery and perioperative quality initiative joint consensus statement on nutrition screening and therapy within a surgical enhanced recovery pathway. Anesth Analg. 2018; 126(6): 1883-95.
11. Williams DGA, Aronson S, Murray S et al. Validation of the peri operative nutrition screen for prediction of postoperative outcomes. J Parenter Enteral Nutr. 2022;1-9.
12. Cortina M, Delledonne AE, Gonella RD, Orellana E, Scarinci AS. Desnutrición al ingreso hospitalario y estancia prolongada en un hospital público de la Provincia de Buenos Aires. DIAETA. 2022; 40: e22040006.
13. Galata C, Busse L, Birgin E, Weiß C, Hardt J, Reißfelder C, Otto M. Role of albumin as a nutritional and prognostic marker in elective intestinal surgery. Can J Gastroenterol Hepatol. 2020 Apr13; 2020:7028216.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2025 Silvina Noemí Kuliba, Victoria Lorecchio, María Clara Torreria, Sofía Macarena Levers, Verónica Natalia Porral
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Los/as autores/as prestan su conformidad para ceder los derechos de copia (copyright) de sus manuscritos a la Revista, en la forma de cesión no exclusiva de derechos.
